Innovative Health Solutions, Llc | |
2 Richmond Sq Ste 110 Providence RI 02906-5135 | |
(774) 432-0446 | |
Not Available |
Full Name | Innovative Health Solutions, Llc |
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Speciality | Internal Medicine |
Location | 2 Richmond Sq Ste 110, Providence, Rhode Island |
Authorized Official Name and Position | Jose Bolanos (OFFICE MANAGER) |
Authorized Official Contact | 4014141400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Innovative Health Solutions, Llc 2 Richmond Sq Ste 110 Providence RI 02906-5135 Ph: () - | Innovative Health Solutions, Llc 2 Richmond Sq Ste 110 Providence RI 02906-5135 Ph: (774) 432-0446 |
NPI Number | 1699401372 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 9032589650 |
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Medicare Enrollment ID | O20221222002650 |
Identifier | Type | State | Issuer |
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1699401372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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